SULFASALAZINE
Source | General Schedule |
Body System | ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS |
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
13433BMPNP |
SULFASALAZINE sulfasalazine 500 mg enteric tablet, 100 (PI, CMI) |
4 | 400 | 5 | $100.15 | $31.60 | $31.60 |
Available brands | |||||||
Pyralin ENa | |||||||
Salazopyrin-ENa * Additional charge for this brand is
$8.00B
|
4 | 400 | 5 | $108.15 | $31.60 | $39.60 |
SULFASALAZINE
Source | General Schedule |
Body System | ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS |
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
13557MMPNP |
SULFASALAZINE sulfasalazine 500 mg tablet, 100 (PI, CMI) |
4 | 400 | 5 | $92.19 | $31.60 | $31.60 |
Available brands | |||||||
Salazopyrin |
SULFASALAZINE
Source | General Schedule |
Body System | ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
2093EMPNP | SULFASALAZINE sulfasalazine 500 mg tablet, 100 (PI, CMI) |
2 | 200 | 5 | $52.83 | $31.60 | $31.60 |
Available brands | |||||||
Salazopyrin |
SULFASALAZINE
Source | General Schedule |
Body System | ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
2096HMPNP | SULFASALAZINE sulfasalazine 500 mg enteric tablet, 100 (PI, CMI) |
2 | 200 | 5 | $56.81 | $31.60 | $31.60 |
Available brands | |||||||
Pyralin ENa | |||||||
Salazopyrin-ENa * Additional charge for this brand is
$4.00B
|
2 | 200 | 5 | $60.81 | $31.60 | $35.60 |
- Legend
- BBrand premium applies
- aBrand equivalent a
- MPMedical Practitioner
- NPNurse Practitioner
- 60D60-day prescriptions